8503 Mystic Park, San Antonio, TX 78254 · Bexar County · (210) 256-0906
119 certified beds, about 106 residents a day · For profit - Corporation · Medicare and Medicaid since 2004
CMS Care Compare ratings, data as of September 1, 2026 · CCN 676012 · See it on Medicare.gov · Compare with other homes
At its most recent standard inspection, on April 3, 2026, inspectors cited 9 health deficiencies (the Texas average is 9.4, the national average 9.2).
Of 24 health citations since December 2023, 2 were rated as actual harm or immediate jeopardy to residents (2 immediate jeopardy).
CMS lists 1 fine totaling $111,121 in the last three years; the largest was $111,121, and the latest is dated April 28, 2024.
Nurses and nurse aides worked 3.23 hours per resident per day, against 3.39 across Texas and 3.86 nationally. Registered nurses accounted for 0.39 of those hours.
35.6% of nursing staff left within the year CMS measured (Texas average 55.3%).
CMS links it to The Ensign Group, an affiliated group of 344 nursing homes.
Federal rules call for a standard inspection at least every 15 months, plus a visit whenever a complaint is filed. Each mark below is one citation, colored by how serious inspectors rated it. How to read a citation.
Under each citation, the quoted text is the inspector's own summary from the federal statement of deficiencies (CMS form 2567), word for word apart from a privacy scrub; CMS removes residents' and staff names before it publishes the text. The full notes are on Medicare.gov.
CMS rates every citation by how much harm it caused (rows) and how many residents it touched (columns). The count in each box is this home's, across all 24 health citations on file.
Inspectors wroteBased on interview and record review, the facility failed to ensure that each resident had the right to secure and confidential personal and clinical records for 1 of 1 resident (Resident #1) reviewed for Privacy and Confidentiality. The facility failed to ensure Resident #1's clinical information was not sent to other facilities without the resident's and responsible party's permission. This failure could result in residents' personal information being exposed to unauthorized individuals. Based on interview and record review, the facility failed to ensure that each resident had the right to secure and confidential personal and clinical records for 1 resident (Resident #1) reviewed for Privacy and Confidentiality. The facility failed to ensure resident #1's clinical information was not sent to other facilities without the resident's and responsible party's permission. [...]
Inspectors wroteBased on observation, interview and record review, the facility failed to develop and implement a comprehensive person-centered care plan for each resident, consistent with the resident rights, that includes measurable objectives and timeframes to meet a resident's medical, nursing, and mental and psychosocial needs that are identified in the comprehensive assessment for 1 of 5 residents (Resident #1) reviewed for care plans: The facility failed to ensure Resident #1 had pink neon tape on her wheelchair brakes as stated in her comprehensive care plan. This deficient practice could place residents at risk of receiving improper care and services.
Inspectors wroteBased on interview and record review, the facility failed to ensure the resident assessment accurately reflected the resident's status for 1 of 6 residents (Resident #88) who were reviewed for resident assessments. The facility failed to document Resident #88's use of pain medication on the quarterly MDS assessment. This failure could place residents at risk of improper or incorrect care or of not receiving services necessary for their physical, mental, and psychosocial well-being.
Inspectors wroteBased on interview and record review, the facility failed to coordinate assessments with the PASRR program for 1 of 6 residents (Resident #88) reviewed for PASRR assessments. The facility did not refer Resident #88 to the appropriate state-designated mental health authority for review with the diagnoses of MDD and PTSD. This failure could place residents at risk of a diminished quality of life related to not receiving or benefiting from specialized services.
Inspectors wroteBased on observation, interview, and record review, the facility failed to ensure a resident who was incontinent of bladder and bowel received appropriate treatment and services to prevent urinary tract infections for 1 of 2 residents (Resident #7) reviewed for incontinent care:The facility failed to ensure CNA D provided proper incontinent care to Resident #7. CNA D made several passes with one disposable wipe to clean the resident's penis. This failure could place residents at-risk for infection and skin break down due to improper care practices.
Inspectors wroteBased on observation, interview, and record review, the facility failed to ensure drugs and biologicals were stored in accordance with currently accepted professional principles for 1 (200 hall nurse cart) of 4 medication carts observed for medication storage. A blue pill was lying on the ground by the 200 hall nurse cart. This failure could place residents who receive medications at risk of not receiving the intended therapeutic effects of their prescribed medications and experiencing unintended and harmful effects of medications prescribed to others.
Inspectors wroteBased on observation, interview and record review, the facility failed to employ sufficient staff with the appropriate competencies, and skills set to carry out the functions of the food and nutrition service for 1 (Cook I) of 11 dietary staff reviewed for qualified dietary staff. The facility failed to ensure [NAME] I had a current Food Handler Certificate. This failure could place residents who ate food from the facility's kitchen at risk of not having their nutritional needs met and place them at risk for food born illnesses.
Inspectors wroteBased on observation, interview, and record review, the facility failed to store, prepare, distribute, and serve food in accordance with professional standards for food service safety for 1 of 1 kitchen, in that: 1. The facility failed to keep dish racks off the floor 2. The facility failed to discard dirty oil. These failures could place residents who received meals and/or snacks from the kitchen at risk for food borne illness.
Inspectors wroteBased on observation, interview and record review, the facility failed to dispose of garbage and refuse properly for 1 of 1 Dumpsters (Dumpster #1) reviewed for disposal of garbage. The facility failed to ensure Dumpster #1 had a rubber plug at the bottom, there were no stains on the ground outside the dumpster, and trash/food was not on the ground outside the dumpster. These failures could place residents at risk for exposure to germs and diseases carried by vermin and rodents.
Inspectors wroteBased on observation, interview and record review, the facility failed to maintain medical records that were complete and accurately documented in accordance with accepted professional standards and practices for 2 of 10 residents (Residents #6 and Resident #8) reviewed for medical records. 1. The facility failed to ensure Resident #6's Mental Illness/Dementia Resident Review, form 1012 was completed and accurate. 2. The facility failed to ensure Resident #8's Mental Illness/Dementia Resident Review, form 1012 was completed and accurate. This deficient practice could place residents at risk of delayed or improper care due to inaccurate medical records. 1. [...]
Inspectors wroteBased on observation, interview, and record review, the facility failed to maintain an infection prevention and control program designed to provide a safe, sanitary, and comfortable environment and to help prevent the development and transmission of communicable disease and infection for 3 of 8 residents (Residents #79, #5 and #25) reviewed for infection control:1. During the medication pass, the facility failed to ensure LVN H used appropriate hand hygiene between glove changes and when moving from a clean area to a dirty area when administering medication to Resident #79.2. During the medication pass, the facility failed to ensure Med Aide G used appropriate hand hygiene between glove changes and when moving from a clean area to a dirty area when administering medication to Resident #5.3. [...]
Inspectors wroteBased on observation, interview, and record review, the facility failed to store, prepare, distribute, and serve food in accordance with professional standards for food service safety for 1 of 1 kitchen and 1 (Resident #33) of 4 residents personal refrigerators reviewed, in that: 1. DA B touched dessert dishes on the inside of the dish to place them on the tray, DA A touched the rim on the inside of the plate while serving food, and DA C placed her thumb on rim and on the inside of the plate when she placed the plate on the tray. 2. There was one sandwich covered in a plastic bag, provided by the facility, in the refrigerator inside Resident #33's room, and the sandwich was unlabeled and undated. These failures could place residents who received meals and/or snacks from the kitchen and their personal refrigerators at risk for food borne illnesses.
Inspectors wroteBased on observation, interview and record review, the facility failed to treat each resident with respect and dignity and care for each resident in a manner and in an environment that promoted maintenance or enhancement of his or her quality of life, recognizing each resident's individuality for 1 of 4 resident units (200 unit) reviewed for dignity. CNA K and the MDS Nurse walked into several resident rooms in the 200 unit without knocking. This failure could place residents at risk for diminished quality of life, loss of dignity and self-worth.
Inspectors wroteBased on interview, and record review, the facility failed to ensure the assessment accurately reflected the resident's status for 3 of 21 residents (Residents #61, #148, and #95) whose assessments were reviewed. 1. Resident #61's MDS assessment inaccurately reflected the resident received insulin injections when he did not. 2. The facility failed to ensure Resident #148's admission MDS, dated [DATE], correctly assessed the resident's hospice status as evidenced by coding No hospice receive in Section O-Special treatment, procedures, and program. However, Resident #148 was receiving hospice services. 3. Resident #95's discharge MDS assessment inaccurately reflected the resident was discharged to the hospital when he was discharged home. These failures could place residents at-risk for inadequate care and services.
Inspectors wroteBased on observation, interview, and record review, the facility failed to ensure a resident who was incontinent of bladder receives appropriate treatment and services to prevent urinary tract infections and to restore continence to the extent possible for 2 of 3 residents (Resident #27 and #82) reviewed for incontinence care. 1. When CNA-E and CNA-F were providing incontinent care to Resident #27 on 01/23/2025, CNA-E did not clean the resident's right buttock area. 2. The facility failed to ensure Resident #82's indwelling urinary catheter drainage bag and tubing were not touching the floor. These failures could place residents with indwelling urinary catheter devices and who required incontinence care at risk for cross contamination and the development of new or worsening urinary tract infections.
Inspectors wroteBased on observations, interviews, and record review, the facility failed to provide pharmaceutical services (including procedures that assure the accurate acquiring, receiving, dispensing, and administering of all drugs and biologicals) to meet the needs of each resident for 2 of 5 medication and nursing carts (300-hall nursing cart and 200-hall nursing cart) reviewed for pharmacy services. 1. There was one medication (Dakin's solution half strength for skin irrigation) expired on 11/2024 found inside the 300-hall nursing cart on 01/22/2025. 2. There was Resident #54's medication (Urea 20 intensive Hydrating cream for dry skin) expired on 11/13/2024 found inside the 200-hall nursing cart on 01/22/2025. This failure could place residents at risk of inaccurate drug administration and not having appropriate therapeutic effects.
Inspectors wroteBased on observations, interviews, and record review, the facility failed to establish and maintain an infection control program designed to provide a safe, sanitary, and comfortable environment and to help prevent the development of communicable diseases and infections for 1 resident (Residents #148) of 21 residents reviewed for infection control. CNA-J entered Resident #148's room, who was on EBP, on 01/23/2025 at 11:02 a.m. and failed to put on a gown when the CNA-J was providing suprapubic catheter care to the resident. These deficient practices affect residents who require assistance treatments and could place residents at risk for cross contamination and infections.
Inspectors wroteBased on observation, interview, and record review the facility failed to provide a clean, comfortable, and homelike environment with housekeeping and maintenance services necessary to maintain a sanitary, orderly, and comfortable interior for 2 of 6 residents (Residents #3 and #4) reviewed for resident rights: Residents #3 and #4 shared a room with a strong odor of urine. This failure could place residents at risk of embarrassment, humiliation, low self-esteem, and not residing in a sanitary and comfortable, homelike environment.
Inspectors wroteBased on observation, interview, and record review the facility failed to ensure that all alleged violations involving abuse, neglect, exploitation or mistreatment, including injuries of unknown source were reported immediately, but not later than 2 hours after the allegation was made, if the events that cause the allegation involve abuse or result in serious bodily injury, or not later than 24 hours if the events that cause the allegation do not involve abuse and do not result in serious bodily injury, to the administrator of the facility and to other officials (including to the State Survey Agency in accordance with State law through established procedures for 2 of 6 residents (Residents #1 and #2), reviewed for abuse and neglect. 1. [...]
Inspectors wroteBased on interviews and record reviews, the facility failed to provide pharmaceutical services (including procedures that assure the accurate acquiring, receiving ,dispensing, and administering of all drugs and biologicals) to meet the needs of each resident for 1 of 6 residents (Resident #1) reviewed for pharmacy services. The facility failed to clarify orders for Digoxin regarding the need for parameters and labs. The facility failed to ensure the pharmacist performed a medication review every 30 days. The facility failed to monitor Digoxin levels of Resident #1 because he did not have an order. These failures resulted in the identification of an Immediate Jeopardy (IJ) on 4/26/2024 at 6:05 pm. The IJ template was provided to the facility on 4/26/2024 at 6:05 p.m. [...]
Inspectors wroteBased on interview and record review, the facility failed to collaborate with hospice representatives and coordinate the hospice care planning process for each resident receiving hospice services, to ensure quality of care for the resident, ensuring communication with the hospice medical director, the resident's attending physician and others participating in the provision of care for one (Resident #1) of one resident reviewed for hospice services. The facility failed to contact the hospice service medical physician or nurse to clarify physician orders for Digoxin to be given with parameters and if lab should be done for Resident #1 . This failure resulted in the identification of an Immediate Jeopardy (IJ) on 4/26/2024 at 6:05 pm. The IJ template was provided to the facility on 4/26/2024 at 6:05 p.m. [...]
Inspectors wroteBased on observation, interview, and record review, the facility failed to maintain an infection prevention and control program designed to provide a safe, sanitary, and comfortable environment to help prevent the development and transmission of infections for 2 of 5 staff (RN A & LVN B) reviewed for infection control, in that: 1. RN A and LVN B contaminated their hands after washing them and then provided care to Residents'. These deficient practices could place residents at-risk for infections.
Inspectors wroteBased on observation, interview and record review, the facility failed to ensure all Pre-admission Screening and Resident Review (PASARR) Level I residents with a mental disorder were provided with an accurate PASARR assessment for 1 of 5 residents (Resident #67) reviewed for PASARR Level 1. The facility failed to identify on Resident #67's PASARR Level l that the resident had a diagnosis of a mental disorder. This deficient practice could affect all residents who had a mental illness and place them at risk for not receiving needed care and services to meet their needs.
Inspectors wroteBased on observation, interview, and record review, the facility failed to store, prepare, distribute, and serve food in accordance with professional standards for food service safety for 1 of 1 kitchen reviewed for kitchen sanitation in that: The facility failed to maintain the cleanliness of the ice maker found within the kitchen. These failures could place residents at risk for cross-contamination and foodborne illness.
12 fire safety citations on file: 2 on April 3, 2026, 7 on January 24, 2025, 3 on December 8, 2023.
| Date | Penalty | Amount or length |
|---|---|---|
| April 28, 2024 | Fine | $111,121 |
A payment denial means Medicare and Medicaid stopped paying for new admissions for that period.
Hours of care per resident per day, from the payroll records every home sends CMS. Higher means more staff time with each resident.
| Measure | This home | Texas | United States |
|---|---|---|---|
| All nursing staff (RN, LPN and aides) | 3.23 | 3.39 | 3.86 |
| Registered nurses | 0.39 | 0.43 | 0.69 |
| All nursing staff on weekends | 2.65 | 2.98 | 3.42 |
| Nurse aides | 2.00 | ||
| Licensed practical nurses | 0.85 | ||
| Nursing staff turnover (share who left in a year) | 35.6% | 55.3% | 45.8% |
| Registered nurse turnover | 50.0% | 54.6% | 42.9% |
| Administrators who left | 0 |
CMS expects 3.64 hours a day for residents as sick as this home's (its case-mix figure). The staffing star compares the two.
Every nursing home sends CMS its staff hours for each day (the Payroll Based Journal). Here they are added up by quarter. The latest quarter is the one behind the figures above. In January to March 2026, nursing staff hours per resident were 3.47 on weekdays and 2.65 on weekends, 24% lower on weekends (nationally, weekends ran 15% lower). Contract or agency staff worked 0.0% of nursing hours, against 5.3% nationally. Total nursing hours per resident went from 3.29 in April to June 2025 to 3.23 in January to March 2026.
| Quarter | All nursing staff | Registered nurses | Weekdays | Weekends | Contract staff share | Days with no RN hours | Residents a day |
|---|---|---|---|---|---|---|---|
| Jan to Mar 2026 | 3.23 | 0.39 | 3.47 | 2.65 | 0.0% | 0 of 90 | 106 |
| Oct to Dec 2025 | 3.24 | 0.49 | 3.48 | 2.65 | 0.0% | 0 of 92 | 108 |
| Jul to Sep 2025 | 3.28 | 0.42 | 3.49 | 2.77 | 0.0% | 0 of 92 | 109 |
| Apr to Jun 2025 | 3.29 | 0.52 | 3.52 | 2.72 | 0.0% | 0 of 91 | 107 |
| United States, Jan to Mar 2026 | 3.75 | 0.62 | 3.92 | 3.33 | 5.3% | 0.5% of days | |
| Texas, Jan to Mar 2026 | 3.33 | 0.40 | 3.50 | 2.93 | 2.2% | 0.7% of days |
Hours per resident per day: staff hours in the quarter divided by resident days (the daily census CMS derives from resident assessments). Registered nurses include the director of nursing and RNs with administrative duties; aides include nurse aides in training and medication aides, as in CMS's own staffing measure. How these are calculated.
Staff pay reports
No staff pay figure for this home has passed review yet. A figure appears only after at least 5 reports from at least 3 different people, sent over at least 60 days, have passed review.
| Job | Median | Middle half | Employed |
|---|---|---|---|
| Texas, all employers | |||
| CNAs (nursing assistants) | $18.03 | $16.97 to $20.71 | 88,680 |
| LPNs and LVNs | $29.92 | $27.46 to $32.89 | 57,560 |
| Registered nurses | $46.14 | $38.06 to $50.53 | 271,380 |
| United States, nursing care facilities | |||
| CNAs (nursing assistants) | $20.67 | $17.91 to $22.55 | 534,270 |
| LPNs and LVNs | $33.86 | $30.05 to $37.40 | 188,210 |
| Registered nurses | $41.11 | $37.85 to $47.68 | 142,270 |
Hourly wages; the middle half runs from the 25th to the 75th percentile. Source: U.S. Bureau of Labor Statistics, Occupational Employment and Wage Statistics, May 2025. BLS has no separate estimate for medication aides. These are survey estimates for whole occupations, not figures for any one home.
The measures CMS uses for the quality star. Lower is better for every one of them.
| Measure | This home | Texas | US |
|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased Long Stay residents, 2025Q2-2026Q1 | 5.5 | 15.8 | 13.9 |
| Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay residents, 2025Q2-2026Q1 | 0.0 | 0.3 | 0.8 |
| Percentage of long-stay residents with a urinary tract infection Long Stay residents, 2025Q2-2026Q1 | 0.0 | 0.8 | 1.6 |
| Percentage of long-stay residents experiencing one or more falls with major injury Long Stay residents, 2025Q2-2026Q1 | 6.3 | 3.3 | 3.2 |
| Percentage of short-stay residents who newly received an antipsychotic medication Short Stay residents, 2025Q2-2026Q1 | 0.0 | 1.5 | 1.6 |
| Percentage of long-stay residents whose ability to walk independently worsened Long Stay residents, 2025Q2-2026Q1 | 7.6 | 14.0 | 14.1 |
| Percentage of long-stay residents with pressure ulcers Long Stay residents, 2025Q2-2026Q1 | 2.5 | 3.8 | 4.6 |
| Percentage of long-stay residents who received an antipsychotic medication Long Stay residents, 2025Q2-2026Q1 | 7.5 | 9.6 | 15.4 |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission Short Stay residents, 20250101-20251231 | 20.5 | 25.7 | 23.8 |
| Percentage of short-stay residents who had an outpatient emergency department visit Short Stay residents, 20250101-20251231 | 17.6 | 12.3 | 12.0 |
| Number of hospitalizations per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 1.5 | 2.2 | 1.9 |
| Number of outpatient emergency department visits per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 1.0 | 2.1 | 1.8 |
For a stay to recover after a hospital visit, these are the results CMS publishes for Mystic Park Nursing and Rehabilitation Center's Medicare short-stay residents. On returning residents home or to the community, CMS rates it no different from the national rate (54.9% of residents, after adjusting for how sick they were). How to read these, and what Medicare pays for.
54.9% this home
No different from the national rate
US median of homes 51.5% · Texas: 116 better, 50 worse
Rate of successful return to home or community from a SNF (risk-standardized discharge to community rate). Higher is better. October 2022 to September 2024. 53 eligible stays.
10.1% this home
No different from the national rate
US median of homes 10.7% · Texas: 0 better, 9 worse
Rate of potentially preventable hospital readmissions 30 days after discharge from a SNF (risk-standardized rate). Lower is better. October 2022 to September 2024. 89 eligible stays.
6.8% this home
No different from the national rate
US median of homes 7.1% · Texas: 4 better, 11 worse
Percentage of infections residents got during their SNF stay that resulted in hospitalization (risk-standardized rate). Lower is better. October 2023 to September 2024. 45 eligible stays.
59.5% this home
Median of homes: Texas57.3% · US 56.6%
Percentage of residents who are at or above an expected ability to care for themselves and move around at discharge. Higher is better. October 2024 to September 2025. 37 residents counted.
0.0% this home
Median of homes: Texas0.0% · US 0.0%
Percentage of SNF residents who experience one or more falls with major injury during their SNF stay. Lower is better. October 2024 to September 2025. 55 residents counted.
1.4% this home
Median of homes: Texas1.3% · US 1.7%
Percentage of residents with pressure ulcers or pressure injuries that are new or worsened (adjusted rate). Lower is better. October 2024 to September 2025. 55 residents counted.
Not reported
CMS note: The number of residents or resident stays is too small to report. Call the facility to discuss this quality measure.
Median of homes: Texas98.5% · US 98.7%
Percentage of residents where the SNF provided a current medication list to the resident, family, and/or caregiver at final discharge. Higher is better. October 2024 to September 2025. 14 residents counted.
Source: CMS Skilled Nursing Facility Quality Reporting Program - Provider Data, released 2026-09-30. Better, no different and worse are CMS's own comparisons with the national rate, after adjusting for how sick residents were. Medians of homes and the state counts are worked out by us from the same file.
Legal business name: WEST WHARTON COUNTY HOSPITAL DISTRICT. CMS links this home to The Ensign Group, a group of 344 nursing homes averaging 3.2 stars overall.
| Name | Role | Type | Share | Since |
|---|---|---|---|---|
| Brewer, Devin | Managing control - governing body | Individual | 10/01/2022 | |
| Zantua, Omar | Managing control - governing body | Individual | 01/18/2023 | |
| Burnam, Soon | Corporate officer | Individual | 01/18/2022 | |
| Keetch, Chad | Corporate officer | Individual | 03/01/2011 | |
| Thompson, Johnny | Corporate officer | Individual | 05/16/2024 | |
| Fox Sparrow Healthcare, Inc. | Operational/managerial control | Organization | 10/01/2022 | |
| Brewer, Devin | Operational/managerial control | Individual | 10/01/2022 | |
| Zantua, Omar | Operational/managerial control | Individual | 01/18/2023 | |
| Ensign Services Inc | Adp of the SNF | Organization | 01/18/2022 | |
| Fox Sparrow Healthcare, Inc. | Adp of the SNF | Organization | 10/16/2025 | |
| Brewer, Devin | Adp of the SNF | Individual | 10/01/2022 | |
| Zantua, Omar | Adp of the SNF | Individual | 01/18/2023 |
As listed in the CMS ownership file, which names owners with a 5% or greater stake and the people and companies with operational or managerial control.
Chosen from this home's own inspection record.
These are the official offices in Texas. NursingHomeClear cannot take or act on complaints.